Provider Demographics
NPI:1821306457
Name:GILBERT, MONICA MERRITT (DC)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:MERRITT
Last Name:GILBERT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:KATHLEEN
Other - Last Name:MERRITT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:N/A
Mailing Address - Street 1:23 BEACON ST
Mailing Address - Street 2:
Mailing Address - City:CAMILLA
Mailing Address - State:GA
Mailing Address - Zip Code:31730-1301
Mailing Address - Country:US
Mailing Address - Phone:229-288-0678
Mailing Address - Fax:
Practice Address - Street 1:23 BEACON ST
Practice Address - Street 2:
Practice Address - City:CAMILLA
Practice Address - State:GA
Practice Address - Zip Code:31730-1301
Practice Address - Country:US
Practice Address - Phone:229-288-0678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-16
Last Update Date:2010-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008623111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor